Active NPI
Thomas Straughan Beane Jr., RPH
- Pharmacist
- Kilmarnock, VA
National Provider Identifier
1366729972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202004546
- Practice address
- 573 N Main St
Kilmarnock, VA 22482-3828 - Phone
- (804) 435-8890
- NPI assigned
- Nov 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202004546 | VA | Primary |
Addresses
Primary practice location
573 N Main St
Kilmarnock, VA 22482-3828
Mailing address
PO Box 238
Wicomico Church, VA 22579-0238
Phone (804) 580-7823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202004546 | Other | COMMONWEALTH OF VIRGINIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202004546 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Kilmarnock, VA
- NPI 1184809584
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1366729972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 238",
"city": "WICOMICO CHURCH",
"state": "VA",
"postal_code": "225790238",
"telephone_number": "804-580-7823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 N MAIN ST",
"city": "KILMARNOCK",
"state": "VA",
"postal_code": "224823828",
"telephone_number": "804-435-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEANE",
"first_name": "THOMAS",
"middle_name": "STRAUGHAN",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-10",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202004546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF VIRGINIA",
"identifier": "0202004546",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kilmarnock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.